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    Spermatocele (Epididymal Cyst)

    Spermatocele (Epididymal Cyst)

    Topic Overview

    What is a spermatocele?

    A spermatocele (epididymal cyst) is a painless, fluid-filled cyst in the long, tightly coiled tube that lies above and behind each testicle ( epididymis ). The fluid in the cyst may contain sperm that are no longer alive. It feels like a smooth, firm lump in the scrotum on top of the testicle.

    Having a spermatocele doesn't affect a man's fertility.

    What causes spermatoceles?

    Although the cause of a spermatocele is often unknown, it may be caused by obstruction of the tubes that carry sperm from the testicles (epididymal ducts).

    What are the symptoms?

    Often a spermatocele does not cause symptoms. You may notice what looks or feels like an extra lump or mass above the testicle on one side of your scrotum. Or you may notice a general enlargement of your scrotum. Symptoms, when present, can include pain, swelling, or redness of the scrotum or a feeling of pressure at the base of the penis.

    How is a spermatocele diagnosed?

    A spermatocele is usually diagnosed by examining the scrotum. As part of the exam, your doctor will shine a light behind each testicle (transillumination) to check for solid masses that may be caused by other problems, such as cancer of the testicle. Spermatoceles are filled with fluid, so light will shine through them (transillumination). Light will not pass through solid masses that may be caused by other problems, such as cancer of the testicle. An ultrasound may be used to confirm the diagnosis of a spermatocele.

    How is it treated?

    Spermatoceles are not usually dangerous and are treated only when they cause pain or embarrassment or when they decrease the blood supply to the penis (rare). Treatment is not usually needed if a spermatocele does not change in size or gets smaller as the body reabsorbs the fluid.

    If the spermatocele gets larger or causes discomfort, a procedure to remove the spermatocele (spermatocelectomy) may be needed.

    Other Places To Get Help

    Organizations

    National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
    Building 31, Room 9A06
    31 Center Drive, MSC 2560
    Bethesda, MD20892-2560
    Phone: (301) 496-3583
    Web Address: www.niddk.nih.gov

    The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) provides information and conducts research on a wide variety of diseases as well as issues such as weight control and nutrition.


    Urology Care Foundation: The Official Foundation of the American Urological Association
    Web Address: www.urologyhealth.org

    References

    Other Works Consulted

    • Barthold JS (2012). Abnormalities of the testis and scrotum and their surgical management. In AJ Wein et al., eds., Campbell-Walsh Urology, 10th ed., vol. 4, pp. 3557?3596. Philadelphia: Saunders.

    Credits

    By Healthwise Staff
    E. Gregory Thompson, MD - Internal Medicine
    Christopher G. Wood, MD, FACS - Urology, Oncology
    Last Revised December 28, 2012

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